鼻中隔偏曲与慢性鼻-鼻窦炎发病关系的探讨
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摘要
目的:探讨鼻中隔偏曲与慢性鼻-鼻窦炎不伴鼻息肉(CRSsNP)发病的关系。方法:对185例鼻中隔偏曲患者行鼻内镜、鼻窦轴位和/或冠位CT扫描观察,分析鼻中隔偏曲与CRSsNP关系。所有鼻窦CT均采用Lund-Machay CT评分系统评估鼻中隔偏曲与CRSsNP发病的相关性。结果:185例鼻中隔偏曲患者中,并发CRSsNP者129例,发病率为69.73%,其中鼻中隔偏曲宽侧并发CRSsNP的有87例,发病率较高,为67.44%;鼻中隔偏曲各组中高位偏曲(D、F组)并发CRSsNP有77例,发病率最高,为59.69%。结论:鼻中隔偏曲与CRSsNP的发生具有相关性,尤以高位偏曲组更为显著。
Objective: To explore the relationship between nasal septum deviation and the pathogenesis of chronic rhinosinusitis without nasal polyps(CRSsNP). Methods: By nasal endoscopy and CT scancing the axial or coronal position of nasal sinus, 185 cases of patients with the deviation of nasal septum were analysed to obtain the relationship between nasal septum and CRSsNP. All paranasal sinus CT were evaluated by using the Lund-Machay CT scoring system. Results: There were 129 patients with CRSsNP in 185 cases of patients with nasal septum, and the incidence rate was 69.73%. Furthermore,there were 87 cases with the wide side of nasal septum deviation complicated with CRSsNP, and the incidence rate was higher, reaching 67.44%. In the high deviation groups(D,F group) among the groups of nasal septum, there were 77 cases of patients with CRSsNP, and the incidence rate was the highest, reaching 59.69%. Conclusion: There is a correlation between the deviation of nasal septum and the CRSsNP, especially in the high deviation group.
Objective: To explore the relationship between nasal septum deviation and the pathogenesis of chronic rhinosinusitis without nasal polyps(CRSsNP). Methods: By nasal endoscopy and CT scancing the axial or coronal position of nasal sinus, 185 cases of patients with the deviation of nasal septum were analysed to obtain the relationship between nasal septum and CRSsNP. All paranasal sinus CT were evaluated by using the Lund-Machay CT scoring system. Results: There were 129 patients with CRSsNP in 185 cases of patients with nasal septum, and the incidence rate was 69.73%. Furthermore,there were 87 cases with the wide side of nasal septum deviation complicated with CRSsNP, and the incidence rate was higher, reaching 67.44%. In the high deviation groups(D,F group) among the groups of nasal septum, there were 77 cases of patients with CRSsNP, and the incidence rate was the highest, reaching 59.69%. Conclusion: There is a correlation between the deviation of nasal septum and the CRSsNP, especially in the high deviation group.
引文
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[11]Kapusuz Gencer Z,Ozk覦r覦s覨M,Okur A,et al.The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis[J].Eur Arch Otorhinolaryngol,2013,270(12):3069
[12]Pastorek N J,Becker D G.Treating the caudal septal deflection[J].Arch Facial Plast Surg,2000,2(3):217
[13]姜鹤群,张林,黄阳.单侧鼻窦炎发病与鼻中隔偏曲的关系[J].中华全科医学,2012,4(4):555
[14]韩德民.鼻内镜外科技术新热点[J].中华耳鼻咽喉头颈外科杂志,2009,44(6):441
[15]申迹,洪苏玲.鼻黏膜炎症血清IL-12和IL-4水平及扫描电镜观察[J].临床耳鼻咽喉头颈外科杂志,2010,24(20):913
[2]刘丹,张剑.慢性鼻-鼻窦炎的病因及发病机制[J].国际耳鼻喉头颈外科杂志,2013,37(2):97
[3]王然,黎万荣,赵冲,等.鼻中隔偏曲与鼻窦炎的相关性研究[J].西南军医,2010,12(1):117
[4]中华耳鼻喉头颈外科杂志编辑委员会鼻科组.中华耳鼻咽喉头颈外科学分会鼻科学组.慢性鼻-鼻窦炎诊断和治疗指南(2012,昆明)[J].中华耳鼻咽喉科杂志,2012,48(2):92
[5]Lund V J,Mackay I S.Staging in rhinosinusitis[J].Rhinology,1993,31(4):183
[6]张剑宁,陶泽张,杨强,等.不同部位鼻中隔偏曲伴窦口鼻道复合体解剖变异的特点[J].中国耳鼻咽喉科颅底外科杂志,2003,9(1):21
[7]黄选兆,汪吉宝,孔维佳.实用耳鼻咽喉头颈外科学[M].北京:人民卫生出版社,2014:50-50
[8]杨东霖,王荣光.鼻中隔偏曲与单侧上颌窦炎病变的临床观察与CT图像处理[J].解放军医学杂志,2006,31(1):228
[9]Smith K D,Edwards P C,Saini T S,et al.The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography[J].Int J Dent,2010,24:1
[10]Prasad S,Varshney S,Bist S S,et al.Correlation study between nasal septal deviation and rhinosinusitis[J].Indian J Otolaryngol Head Neck Surg,2013,65(4):363
[11]Kapusuz Gencer Z,Ozk覦r覦s覨M,Okur A,et al.The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis[J].Eur Arch Otorhinolaryngol,2013,270(12):3069
[12]Pastorek N J,Becker D G.Treating the caudal septal deflection[J].Arch Facial Plast Surg,2000,2(3):217
[13]姜鹤群,张林,黄阳.单侧鼻窦炎发病与鼻中隔偏曲的关系[J].中华全科医学,2012,4(4):555
[14]韩德民.鼻内镜外科技术新热点[J].中华耳鼻咽喉头颈外科杂志,2009,44(6):441
[15]申迹,洪苏玲.鼻黏膜炎症血清IL-12和IL-4水平及扫描电镜观察[J].临床耳鼻咽喉头颈外科杂志,2010,24(20):913